Individual
LETITIA LEVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
Mailing address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CW020100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017602900006
—
PA
Enumeration date
10/25/2018
Last updated
10/25/2018
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